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Status | 已發表Published |
Innovations and changes in the ICD-11 classification of mental, behavioural and neurodevelopmental disorders | |
Geoffrey M. Reed1,2; Michael B. First2,3; Cary S. Kogan4; Steven E. Hyman5; Oye Gureje6; Wolfgang Gaebel7; Mario Maj8; Dan J. Stein9; Andreas Maercker10; Peter Tyrer11; Angelica Claudino12; Elena Garralda11; Luis Salvador‐Carulla13; Rajat Ray14; John B. Saunders15; Tarun Dua1; Vladimir Poznyak1; María Elena Medina‐Mora16; Kathleen M. Pike2; José L. Ayuso‐Mateos17; Shigenobu Kanba18; Jared W. Keeley19; Brigitte Khoury20; Valery N. Krasnov21; Maya Kulygina21; Anne M. Lovell22; Jair de Jesus Mari12; Toshimasa Maruta23; Chihiro Matsumoto24; Tahilia J. Rebello2,3; Michael C. Roberts25; Rebeca Robles16; Pratap Sharan26; Min Zhao27; Assen Jablensky28; Pichet Udomratn29; Afarin Rahimi‐Movaghar30; Per‐Anders Rydelius31; Sabine Bährer‐Kohler32; Ann D. Watts33; Shekhar Saxena34 | |
2019 | |
Source Publication | World Psychiatry |
ISSN | 1723-8617 |
Volume | 18Issue:1Pages:3-19 |
Abstract | Following approval of the ICD-11 by the World Health Assembly in May 2019, World Health Organization (WHO) member states will transi-tion from the ICD-10 to the ICD-11, with reporting of health statistics based on the new system to begin on January 1, 2022. The WHO Department of Mental Health and Substance Abuse will publish Clinical Descriptions and Diagnostic Guidelines (CDDG) for ICD-11 Mental, Behavioural and Neurodevelopmental Disorders following ICD-11’s approval. The development of the ICD-11 CDDG over the past decade, based on the principles of clinical utility and global applicability, has been the most broadly international, multilingual, multidisciplinary and participative revision process ever implemented for a classification of mental disorders. Innovations in the ICD-11 include the provision of consistent and systematically characterized information, the adoption of a lifespan approach, and culture-related guidance for each disorder. Dimensional approaches have been incorporated into the classification, particularly for personality disorders and primary psychotic disorders, in ways that are consistent with current evidence, are more compatible with recovery-based approaches, eliminate artificial comorbidity, and more effectively capture changes over time. Here we describe major changes to the structure of the ICD-11 classification of mental disorders as compared to the ICD-10, and the development of two new ICD-11 chapters relevant to mental health practice. We illustrate a set of new categories that have been added to the ICD-11 and present the rationale for their inclusion. Finally, we provide a description of the important changes that have been made in each ICD-11 disorder grouping. This information is intended to be useful for both clinicians and researchers in orienting themselves to the ICD-11 and in preparing for implementation in their own professional contexts. |
Keyword | International Classification Of Diseases, Icd-11, Diagnosis, Mental Disorders, Clinical Utility, Dimensional Approaches, Culture-related Guidance |
DOI | 10.1002/wps.20611 |
Indexed By | SSCI |
Language | 英語English |
WOS Research Area | Psychiatry |
WOS Subject | Psychiatry |
WOS ID | WOS:000454694100002 |
Publisher | WILEY, 111 RIVER ST, HOBOKEN 07030-5774, NJ USA |
Scopus ID | 2-s2.0-85059384151 |
Fulltext Access | |
Citation statistics | |
Document Type | Journal article |
Collection | Faculty of Social Sciences |
Affiliation | 1.Department of Mental Health and Substance Abuse, World Health Organization, Geneva, Switzerland 2.Department of Psychiatry, Columbia University Medical Center, New York, NY, USA 3.New York State Psychiatric Institute, New York, NY, USA 4.School of Psychology, University of Ottawa, Ottawa, ON, Canada; 5.Stanley Center for Psychiatric Research, Broad Institute of Harvard and Massachusetts Institute of Technology, Cambridge, MA, USA 6.Department of Psychiatry, University of Ibadan, Ibadan, Nigeria; 7.Department of Psychiatry and Psychotherapy, Medical Faculty, Heinrich-Heine University, Düsseldorf, Germany; 8.Department of Psychiatry, University of Campania “L. Vanvitelli”, Naples, Italy; 9.Department of Psychiatry, University of Cape Town, and South African Medical Research Council Unit on Risk and Resilience in Mental Disorders, Cape Town, South Africa; 10.Department of Psychology, University of Zurich, Zurich, Switzerland 11.Centre for Mental Health, Imperial College, London, UK 12.Department of Psychiatry, Universidade Federal de São Paulo (UNIFESP/EPM), São Paulo, Brazil 13.Research School of Population Health, Australian National University, Canberra, ACT, Australia 14.National Drug Dependence Treatment Centre, All India Institute of Medical Sciences, New Delhi, India 15.Centre for Youth Substance Abuse Research, University of Queensland, Brisbane, QLD, Australia 16.National Institute of Psychiatry Ramón de la Fuente Muñiz, Mexico City, Mexico 17.Department of Psychiatry, Universidad Autonoma de Madrid; Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM); Instituto de Investigación Sanitaria La Princesa, Madrid, Spain 18.Department of Neuropsychiatry, Kyushu University, Fukuoka, Japan 19.Department of Psychology, Virginia Commonwealth University, Richmond, VA, USA 20.Department of Psychiatry, American University of Beirut Medical Center, Beirut, Lebanon 21.Moscow Research Institute of Psychiatry, National Medical Research Centre for Psychiatry and Narcology, Moscow, Russian Federation 22.Institut National de la Santé et de la Recherche Médicale U988, Paris, France 23.Health Management Center, Seitoku University, Matsudo, Japan 24.Japanese Society of Psychiatry and Neurology, Tokyo, Japan 25.Office of Graduate Studies and Clinical Child Psychology Program, University of Kansas, Lawrence, KS, USA 26.Department of Psychiatry, All India Institute of Medical Sciences, New Delhi, India 27.Shanghai Mental Health Center and Department of Psychiatry, Shanghai Jiao Tong University School of Medicine, Shanghai, People's Republic of China 28.Centre for Clinical Research in Neuropsychiatry, University of Western Australia, Perth, WA, Australia 29.Department of Psychiatry, Prince of Songkla University, Hat Yai, Thailand 30.Iranian National Center for Addiction Studies, Tehran University of Medical Sciences, Tehran, Iran 31.Department of Child and Adolescent Psychiatry, Karolinska Institute, Stockholm, Sweden 32.International Federation of Social Workers, Basel, Switzerland 33.Entabeni Hospital, Durban, South Africa 34.Harvard T.H. Chan School of Public Health, Boston, MA, USA |
Recommended Citation GB/T 7714 | Geoffrey M. Reed,Michael B. First,Cary S. Kogan,et al. Innovations and changes in the ICD-11 classification of mental, behavioural and neurodevelopmental disorders[J]. World Psychiatry, 2019, 18(1), 3-19. |
APA | Geoffrey M. Reed., Michael B. First., Cary S. Kogan., Steven E. Hyman., Oye Gureje., Wolfgang Gaebel., Mario Maj., Dan J. Stein., Andreas Maercker., Peter Tyrer., Angelica Claudino., Elena Garralda., Luis Salvador‐Carulla., Rajat Ray., John B. Saunders., Tarun Dua., Vladimir Poznyak., María Elena Medina‐Mora., Kathleen M. Pike., ...& Shekhar Saxena (2019). Innovations and changes in the ICD-11 classification of mental, behavioural and neurodevelopmental disorders. World Psychiatry, 18(1), 3-19. |
MLA | Geoffrey M. Reed,et al."Innovations and changes in the ICD-11 classification of mental, behavioural and neurodevelopmental disorders".World Psychiatry 18.1(2019):3-19. |
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